WS-19-317Location Address
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
55 NE 100 ST, Miami Shores, FL 33138
Contacts
Permit No.: WS -02-19-317
' Permit Type: Windows/Shutters'
, jlassificoWn.- Window/Door Replacement
Issue Date: 02/12/2019
Parcel Number
1132060131420
Permit Status: Approved
Expiration: 08/12/2019
MICHAEL & DOROTHY ESSINGTON Owner MICHAEL & DOROTHY ESSINGTON Applicant
55 NE 100 ST, MIAMI SHORES, FL 33138 55 NE 100 ST, MIAMI SHORES, FL 33138
Home: 3052984673 Home: 3052984673
SPAZIO HOME INC Contractor
JUAN CARLOS ORRIOLS
7715 NW 56 ST, DORAL, FL 33166
Business: 3055824488
Description: REPLACE KITCHEN WINDOW 1 WINDOW Valuation: $ 250.00 Ins ection Requests:
49
Total Sq Feet: 157.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Notary Fee
$5.00
Scanning Fee
$3.00
Technology Fee
$2.75
Windows/Shutters Fee
$60.00
Total:
$125.55
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$125.55
Credit Card
02/12/2019 $125.55
Amount Due:
$0.00
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNE FI T: I rh that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
reguoting constructioyi ayfd z96ing. Futhermore, I authorize the above named contractor to do the work stated
lin
/ Applicant / Contractor / Agent
Date
February 12, 2019 Page 2 of 2
2�\Z
Miami Shores Village
F 12 M9
Building Department
sem"
BY:
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 ([�
FBC 20
BUILDING
Master Permit No. k c cl
PERIT APPLICATION
Sub Permit No. ws—OZ-p--3i-4
0'UIUILDING F-] ELECTRIC
ROOFING REVISION EXTENSION DRENEWAL
PLUMBING ❑ MECHANICAL
PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: /"{/
Ir �Oy 5
City: Miami Shores
County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
Address:
City: o✓10-s
State: Zip: 331
Tenant/Lessee Name:
Phone#:
Email:
CONTRACTOR: Company Name:
✓te Z ib a Q� lL= Phone#:
Address: 7 1
G
City:64,f�ii
St e: Zip: 3 3
Qualifier Name: J, �C/d
d'i ( S Phone#:
,-r State Certification or Registration #: else /Z G/ S % Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address:
City: State: Zip:
Value of Work for this Permit: $
5'0 - Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ w ❑ Re air/Repla e ❑ Demolition
Description of Work:
jK fJ �1'i�O�J
IF
i 1
Specify color of color thru tile:
Submittal FeO $ - w Permit Fee,$ * CCF $ "'' "� CO/CC $
Scanning Fees$ Radon Fee $ DBPR $ Notary $ 6v
Technology Fee $
Training/Education Fee $ Double Fee $
Structural Reviews $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
M
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature A4,4RUa Signature
OWNER GENT CONTRACTOR
The foregoing instrument was acknowledged before me this
day of J�20)!J by
--DO'P-moi 4Y 12S\NGiw who is personally known to
me or who has produced WlGi c kci9ml , as
The foregoing instrument was acknowledged before me this
[O day of / Le 20 IT by
`�WAI b LS w4 is personally known to
me or who has produced
as
identific tion and who did take an oath. identification and who did take an oath.
NOTA P BLIC: NOTARY PUBLIC:
Sign: Sign:
Print: j% �� Print: <57,// i1<
•. $INDIA ALVAREZ
Seal: ;; Seal: f� " GAACIEDC
;.= MY COMMISSION # GG 238273 Voter
•; a p� 3, 2022 • : • . 1 PubNeida
EXPIRES: Septem CommlgloBco wwwYP1aDIic�" Camra. Ex0218011kddn* ********
APPROVED BY f l Plans Examiner Zoning
Structural Review
(Revised02/24/2014)
Clerk